Sullivan Burd Roupas & Ross DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SULLIVAN BURD ROUPAS & ROSS DDS PLLC

Doing business as

East Charlotte Dental Clinic

Practice address

7128 Lawyers Rd
Mint Hill, NC 28227-3906

Phone

(704) 568-8010

Fax

(704) 563-0496

NPI assigned

Jun 5, 2008

Last updated

Jun 7, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Earle Sullivan, DDSNPI 1962494047

Title

Partner

Phone

(704) 568-8010

Specialties & licenses 1

Addresses

Other names 1

• East Charlotte Dental Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Earle Sullivan, DDS

  • Dentist
  • Charlotte, NC
  • NPI 1962494047
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1508025495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7128 LAWYERS ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273906",
            "telephone_number": "704-568-8010",
            "fax_number": "704-563-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7128 LAWYERS RD",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282273906",
            "telephone_number": "704-568-8010",
            "fax_number": "704-563-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN BURD ROUPAS & ROSS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EARLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-568-8010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Charlotte Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie C. Manning, DDS, PA (Manning Family Dentistry)
• Steven J Leighton
• Kristy Stevens
• Hailey Anne Stewart, PHARMD
• Saisahana Subburaj, RN
• David Sullivan, DDS
• Kenisha Best Sullivan, RN
• Farrah Swinton
• Tabonuco Counseling and Consulting PLLC
• Tall Family Services, Inc.

• General Practice Dentistry in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.